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The White House is hosting a conference on nutrition and hunger The White House
is convening a day-long conference this week to review new proposals for
tackling food insecurity and diet-related chronic disease.
HEALTH
THE WHITE HOUSE IS HOSTING A CONFERENCE ON NUTRITION AND HUNGER
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September 26, 20225:01 AM ET
Heard on Morning Edition
Rachel Martin
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Allison Aubrey
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THE WHITE HOUSE IS HOSTING A CONFERENCE ON NUTRITION AND HUNGER
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The White House is convening a day-long conference this week to review new
proposals for tackling food insecurity and diet-related chronic disease.
RACHEL MARTIN, HOST:
The White House is hosting a daylong conference on nutrition and hunger this
week. This comes at a time when diet-related chronic disease is a top cause of
death in this country. NPR's Allison Aubrey is with us this morning to talk
about the ideas on the table to combat that fact. Allison, good morning.
ALLISON AUBREY, BYLINE: Good morning, Rachel.
MARTIN: So it became clear during the pandemic that people with chronic
diseases, including diabetes and heart disease, they have worse outcomes from
COVID, right? Let's talk about the role that diet plays.
AUBREY: That's right. Yeah, well, what we eat plays a key role, Rachel. It's
really a root cause of disease or can be. Researchers estimate that nearly 900
people die every day in the U.S. from diet-related heart disease, for example.
And millions more are at high risk. Consider diabetes. About one out of every
three adults in the U.S. has prediabetes. That's nearly a hundred million
people. That's on top of the people diagnosed with the condition. I spoke to
Bruce Caldwell (ph). He's 59 years old. He lives in Rhode Island. He had
developed Type 2 diabetes. And he told me, two years ago, his blood sugar had
risen so high, he was taking multiple medications every day and was feeling
lousy.
BRUCE CALDWELL: I really thought the only process was to, unfortunately,
increase medication. I knew that my next step, my PCP told me, was going to be
doing some daily insulin shots. That was really the scary point to me.
AUBREY: His doctors told him that a combination of his genes, his weight and,
really, his eating habits had led to the condition. We heard him say there it's
scary. That's because people with poorly controlled diabetes are at high risk of
so many things - kidney disease, nerve damage, eye damage - and at a much higher
risk of disability.
MARTIN: So what happened? Did he end up taking more medication?
AUBREY: What he did next really fits with a key theme heading into the White
House conference this week, and that is to integrate food and nutrition into the
practice of medicine, to really think as - to think of food as medicine. That's
what Bruce Caldwell did, actually. He completely overhauled his diet. He cut out
refined carbohydrates - so white bread, pasta, sugar - began eating more
protein, more healthy fats. And over the last year and a half, he's lost 55
pounds. And the mic drop here, his diabetes was reversed.
MARTIN: Wow.
AUBREY: His blood sugar is now in the normal, healthy range.
CALDWELL: It feels so good. The way I like to put it is I didn't know how bad I
felt until I felt better.
MARTIN: That's amazing. That's great for him. So is he healthy enough now that
he doesn't have to take any medication?
AUBREY: He no longer requires any diabetes medicine. And the way he got started
on this, Rachel, is his employer paid for a program called Virta that was
offered through Virta Health. It's designed to reverse diabetes and with diet
and exercise. He told me, to his great surprise, it really worked.
CALDWELL: Food can be the medicine. Just by eating, knowing what to eat and what
not to eat, I continue to feel better. And I have an - all around, a lot more
energy.
AUBREY: The immediate financial benefit, he says, is he no longer has to pay for
all these medicines each month. The long-term benefit, preventing all the
diseases linked to diabetes. Now, of course, this took a lot of effort on his
part. It's not easy to overhaul your diet. But it's been transformative for him.
So one conversation on the table this week at the White House conference is how
best to make these kinds of lifestyle-based programs accessible to more people.
MARTIN: So what's the answer to that? I mean, is it reasonable to expect that
more people like Bruce are going to be helped by whatever comes out of this
conference?
AUBREY: You know, I think that there's momentum to tackle food-related chronic
disease. And this will be a focus at the conference on Wednesday because there's
now a lot of evidence that this very strategy that Mr. Caldwell used could be
helpful to many people. Here's Dariush Mozaffarian. He's a heart doctor and a
dean at the Friedman School of Nutrition at Tufts University. He says there are
many studies to show that a combination of diet, exercise, weight loss works to
reverse or stop the progression of diabetes.
DARIUSH MOZAFFARIAN: Food is a direct and very rapid treatment for very complex
diseases. And with a good diet and weight loss, diabetes can be put into
remission. And many, many patients can go off their medications.
AUBREY: At a time when it costs the U.S. health care system more than $240
billion a year to treat diabetes, Dr. Mozaffarian and many other physicians and
public health experts, who will weigh in at the White House conference on
Wednesday, say now is the time to invest more in prevention.
MARTIN: Can we talk a little bit more about that, prevention? Where do efforts
stand to prevent diseases like diabetes before they start?
AUBREY: Yeah, well, this will be a focus on Wednesday. The recommendation coming
from many physicians and food security experts is this - one thing to do is to
make school meals universally free for all children across the country. I think
people assume that in 2022, obesity is a bigger problem than malnutrition or
lack of food. The reality is that food insecurity, the inability to afford
high-quality food, really drives obesity.
MARTIN: Right.
AUBREY: These two problems overlap. They're linked. They're one in the same.
People fill their bellies with cheap food. They gain weight. And that drives the
risk of chronic disease. I spoke to chef Jose Andres. He's well-known for
delivering food aid during hurricanes and Ukraine. The idea he's taking to the
White House is, don't just provide free meals for children. Build local
economies around these free meals by buying food from local farmers, employing
workers in local communities to prepare healthy meals in schools.
JOSE ANDRES: That dollar to feed the children is also giving infrastructure a
boost. Money goes to buy from rural farmers. Those women and men that they
train, they make good, living wage. All of a sudden, $1 is multiplied by four.
We don't have that in place, and we should.
AUBREY: He says investing in healthy food for children has so many potential
benefits. In the immediate term, it reduces absenteeism, makes kids more ready
to learn. And in the long term, the hope is that this can - that food-related
disease can be prevented.
MARTIN: NPR's Allison Aubrey. Aubrey - Aubrey - Allison, thank you. This was a
really interesting conversation. We appreciate it.
AUBREY: Thank you, Rachel.
(SOUNDBITE OF THE ALBUM LEAF'S "STRETCHED HOME")
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